bandage-green

Panniculectomy and Body Contouring

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, Prone, arms extended, arms extended and flexed (superman)
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum, Rectus Sheath, Ilioinguinal/Iliohypogastric
Considerations : Aspiration risk / Full stomach, Obesity, PONV, Tumescent Solution

Anesthetic Approaches

1GETT, Nerve Block
2GETT, TIVA, Propofol Drip, Remifentanil Drip
3GETT, Epidural
The Surgery

Marking - The patient is marked standing in the preoperative holding area, because the tissue hangs completely differently once they are supine. None of the plan is visible on the table....

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